Weight gain and recovery of pre-cancer weight after breast cancer treatments: evidence from the women’s healthy eating and living (WHEL) study

Saquib, Nazmus; Flatt, Shirley W.; Natarajan, Loki; Thomson, Cynthia A.; Bardwell, Wayne A.; Caan, Bette J.; Rock, Cheryl L.; Pierce, John P.

doi:10.1007/s10549-006-9442-2

Cited by 177 publications

(192 citation statements)

References 50 publications

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“…The present study shows consistent findings with other studies (Irwin et al, 2005;Saquib et al, 2007), where younger women at the time of breast cancer diagnosis were more likely to gain more weight compared to older women. The Nurses' Health Study also showed that women who gained weight were slightly younger at the time of diagnosis compared to those who lost or maintained weight after breast cancer diagnosis (Kroenke et al, 2005).…”

Section: Discussionsupporting

confidence: 93%

Diet and Physical Activity in Relation to Weight Change among Breast Cancer Patients

Yong¹,

Shariff²,

Kandiah³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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Background: This study aimed to provide an overview of lifestyle changes after breast cancer diagnosis and to examine the relationship between dietary and physical activity changes with weight changes in breast cancer patients. Women with breast carcinomas (n=368) were recruited from eight hospitals and four breast cancer support groups in peninsular Malaysia. Dietary and physical activity changes were measured from a year preceding breast cancer diagnosis to study entry. Mean duration since diagnosis was 4.86±3.46 years. Dietary changes showed that majority of the respondents had decreased their intake of high fat foods (18.8-65.5%), added fat foods (28.3-48.9%), low fat foods (46.8-80.7%), red meat (39.7%), pork and poultry (20.1-39.7%) and high sugar foods (42.1-60.9%) but increased their intake of fish (42.7%), fruits and vegetables (62.8%) and whole grains (28.5%). Intake of other food groups remained unchanged. Only a small percentage of the women (22.6%) had increased their physical activity since diagnosis where most of them (16.0%) had increased recreational activities. Age at diagnosis (β= -0.20, p= 0.001), and change in whole grain (β= -0.15, p= 0.003) and fish intakes (β= 0.13, p= 0.013) were associated with weight changes after breast cancer diagnosis. In summary, the majority of the women with breast cancer had changed their diets to a healthier one. However, many did not increase their physical activity levels which could improve their health and lower risk of breast cancer recurrence.

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Section: Discussionsupporting

confidence: 93%

Diet and Physical Activity in Relation to Weight Change among Breast Cancer Patients

Yong¹,

Shariff²,

Kandiah³

et al. 2014

Asian Pacific Journal of Cancer Prevention

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“…Unlike the found by other authors 4,11 , in this study no association was found between total body fat and increased occurrence of breast cancer. The values of percentage body fat measured by BIA and sum of skinfolds showed statistically significant differences between cases and controls.…”

Section: Martins Martins Martins Martinscontrasting

confidence: 99%

“…In Brazil and other countries with large racial variation, anthropometric information related to body fat in women 9 , especially those with breast cancer 7,10 , have limitations that may be related to available resources, including technology and more precise equipment, or even to reasons of racial differences per se 11 .…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

Antropometria e perfil lipídico em mulheres com câncer de mama: um estudo caso-controle

Martins¹,

Freitas‐Junior²,

Monego³

et al. 2012

Rev. Col. Bras. Cir.

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OBJETIVO: avaliar a composição corporal e o perfil lipídico de mulheres com e sem câncer de mama. MÉTODOS: estudo caso-controle pareado por idade, incluindo 62 mulheres, sendo 31 recém-diagnosticadas com câncer de mama e 31 com alterações mamárias benignas. Os dados foram coletados por meio de entrevista direta, com caracterização sociodemográfica, avaliação da composição corporal por antropometria, incluindo dobras cutâneas (DC) e circunferências, bioimpedância (BIA) e ultrassonografia (USG), além da avaliação do perfil lipídico. Utilizou-se na análise dos dados: Teste de Kolmogorov-smirnov (distribuição normal das variáveis), teste "t" de Student, Qui-quadrado de tendência (U de Mann-Whitney), Qui-quadrado de Pearson, Teste Exato de Fisher e Correção de Yates e "odds ratio". RESULTADOS: comparadas aos controles, mulheres com câncer de mama (casos) apresentaram menor estatura (1,56m±5,68) e (1,59m±6,92), p<0,03; maior porcentagem de gordura corporal, avaliada pela Impedância Bioelétrica (39,87% ±8,26) e (36,00%±6,85), p<0,049; maior dobra cutânea tricipital (27,55mm±8,37 e 22,81mm±5,72; p<0,01), respectivamente. CONCLUSÃO: Mulheres com câncer de mama apresentaram menor estatura, maior porcentagem de gordura corporal e maior dobra cutânea tricipital. Não se observou diferença no Índice de Massa Corporal e na Circunferência da Cintura. Não foi encontrada associação entre o perfil lipídico e a ocorrência de câncer de mama.

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“…[32][33][34][35] At each point, multidisciplinary teams of clinicians should explicitly discuss with patients how their mobility might interact with or affect treatments and potential outcomes. Complicating these discussions is the lack of scientific evidence about how specific disabling conditions might interact with various aspects of treatment regimens.…”

Section: Discussionmentioning

confidence: 99%

Implications of Mobility Impairment on the Diagnosis and Treatment of Breast Cancer

Iezzoni

Park

Kilbridge

2011

Journal of Women's Health

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Background: Among women with chronic, preexisting mobility impairments, we sought to explore how their mobility difficulties affected the diagnosis and treatment of early-stage breast cancer Methods: This is a qualitative analysis of transcripts from in-depth in-person or telephone interviews with 20 English-speaking women who had early-stage breast cancer, were <60 years of age, and had chronic difficulty walking or used wheeled mobility aids at the time of their breast cancer diagnoses Results: Nine women were disabled by polio as children or had postpolio syndrome, 3 had cerebral palsy, 3 had spinal cord injury, and 5 had other conditions. Most women reported difficulty obtaining mammograms, primarily because of inaccessible equipment, positioning problems, and difficulties with uncontrollable movements. Many women made decisions about surgical approach and chemotherapy by explicitly considering how various therapies would affect their arms, which are essential to their mobility (they use ambulation aids, selfpropel manual wheelchairs, or otherwise rely on their arms for mobility or safety). Managing at home after surgery posed major mobility challenges, especially for women who lived alone. Several women reported feeling they suffered more chemotherapy side effects than do women without mobility problems. Weight gains with endocrine therapy compromised the mobility of several women. Conclusions: Increasing numbers of American women are living with mobility disabilities and entering age ranges with increased risks of breast cancer. Mobility impairments can affect women at every point during earlystage breast cancer diagnosis, therapy, and recovery. Clinicians must consider women's mobility functioning in making therapeutic recommendations to women with impaired mobility who develop breast cancer.

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Weight gain and recovery of pre-cancer weight after breast cancer treatments: evidence from the women’s healthy eating and living (WHEL) study

Abstract: Chemotherapy was associated with clinically meaningful weight gain, and a return to initial weight following weight gain was unlikely.

Cited by 177 publications

References 50 publications

Diet and Physical Activity in Relation to Weight Change among Breast Cancer Patients

Diet and Physical Activity in Relation to Weight Change among Breast Cancer Patients

Antropometria e perfil lipídico em mulheres com câncer de mama: um estudo caso-controle

Implications of Mobility Impairment on the Diagnosis and Treatment of Breast Cancer

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